Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0001 IYANNOUGH ROAD - HAZMAT
/ f �` �°� Number Fee 1106 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Advance Auto Parts Store #4449 I IYANNOUGH ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------- -------------------------------------- ------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ------------------------------- ------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health =• RECEIVED '/� �Cow of B nstable Pee MAY 14 2018 egulatoryV'ms ,s 13 U Richard V. Scali, Director CCOUNTING BARN TABLE Public Health Division niFsmrua uFanru�nne:t 8�`Ri1grABIS, Thomas McKean, Director 1639-2014 �,C) --200 Nlairi Street Hyaririis;lVlA 02601"-- - --- ----_--- ---- ---�w� Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 0 vs, *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: A- Q i kh FQ 4VqY 5. NAME OF ESTABLISHMENT: Name A Vl 9 0 VW-� #--Y q l 6. ADDRESS OF ESTABLISHMENT: 1VOMORA RVqMW5, A DU01 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: (�O�` �� O; Q yt�(�, VA y091--77y) 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: W�`�a� �hawns�in C°l�,Ad+ 1Ce ' Gtu�Sl, COVI� 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: . NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE ' Q:W.pplication Forms\HAZMAT APP 2017 REVI oc� Number Fee 1106 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Advance Auto Parts Store #4449 I IYANNOUGH ROAD, HYANNIS, VA Is Hereby Granted a License For: Storing or Handling 600 gallons or more of Hazardous Materials. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. -------------------------------- v PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. .07/0112017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health I;o► "TRowr>4 of B�nstable Pao egu atory ervlces Richard V. Scali, Director • , � "�, Public Health Division BARNSTABLE Z' • r:u r�rrz ,e; t t a at;:E<e t BA M sa M t Thomas McKean, Director „z„ 9`bArEp �A`� 200 Main Street,Hyannis, A 02601 � Q M t Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS U1 IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY l st—JUNE 30th). APPLICATIOIX F-E]ES- CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 343-001 2. IS THIS A PERMIT RENEWAL? X YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING.APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: BWP DISTRIBUTORS INC 5. NAME OF ESTABLISHMENT: ADVANCE AUTO PARTS #4449 6. ADDRESS OF ESTABLISHMENT: 1 IYANOUGH RD HYANNIS, MA 02601 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: PO BOX 2710 ROANOKE,VA 24001 8. TELEPHONE NUMBER OF ESTABLISHMENT: 508-775-1005 9. EMAIL ADDRESS: JLOUIS@GENFITAX.COM 10. SOLEOWNER: YES X NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME BWP DISTRIBUTORS INC PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE C:\Users\Decollik\AppData\Local\Microsoft\Windows\T porary 1 flnet Files\Content.0ntlook\BMQD49H2\HAZMAT APP 2017 REVISED.docx Effective 10/31/16 B.W.P. Distributors, Inc. New York - 10/17/2001 Directors William H. Carter Tammy M. Finley Thomas B. Okray Officers William H. Carter Chairman, President and Chief Executive Officer Robert B. Cushing Executive Vice President Tammy M. Finley Executive Vice President, General Counsel and Corporate Secretary Thomas B. Okray Executive Vice President and Chief Financial Officer .James T. Durkin Senior Vice President Natalie S. Schechtman Senior Vice President, Human Resources Rachel E. Geiersbach Assistant Secretary I i I � best part: Matthew Hamblett ,., General Manager t: 508.775.1005 11 f: 508.778.2421 e: matthew.hamblett@advance-auto.com 1 iyannough Road hyannis,Massachusetts 02601 I N best part: AdvaMeAllitOPartsh vo r ' I R TIME*ok Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARN STABLE.�� 200 Main Street• Hyannis, MA 02601 ,bM A.0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MA'S AA n� eta Vat,�.0 e- 8 23 /6 Business Name: A-4, Ra S Date: Location/Mai ling Address: i a v►v% 28 Contact Name/Phone: D -7 - t c>o5 4,14k6 le-f Inventory Total Amount. ^' I$OD g 1 MSDS: C". VA605 Je. License#: 1�o 1- CAk-'S Tier II : �• 6 Labeling: Mkat 1 �Mte,- °" Spill Plan: Oil/WaterSeparator: til Floor Drains: tS v Emergency Numbers: D-N - Storage Areas/Tanks: 2 0 4ed wu,5� o, 1 ASCa t&ee4, v.ot vc�n}t �Ks�e Emergency/Containment Equi mp ent: 5 o cv. 5 3 \+-���k5 oyv 5�k� Waste Generator ID: 7 -I oo,' Waste Product: g Date&Amount of Last Shipment/Frequency: & 6 v ask o.1 �� as 4 rye Licensed Waste Hauler&Destination: Other Waste Disposal Methods: ll LIST OF TOXIC AND HAZARDOUS MATERIALS tJ o w---') �ha�gc6 lw ww ,�or NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous miterial use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. fAntifreeze Dry cleaning fluids Automatic transmission fluid —� Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash J Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil - -7— Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) �- Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine �— Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: © `� INFORMATION/RECOMMENDATIONS: No V.,150,e-15 Inspector: —�- Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 1106 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that CARQUEST 1 IYANNOUGH ROAD, HYANNIS, VA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERI ALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO H— Director of Public Health 4 e6/18/, 15__ 12: 14 - 5087711895 CARQUEST" HYANNIS' PAGIE,"Al ' Town-of Barnstable Regulatoq Services . Richard V. Scab,Director 'Y KOM 1 Div ision b 'c = ea th �iv><s u ix. Thomas McKean,Director 200 Main StT.ect, Hyannis,MA 02601 Office: 508-962-4644 Fax.--508=79t)=6304 Appllcation Fe6' 1ooj 0 Ass ,SSORS MAP AND PARCEL No. 343-001 DATE 6-1.6-15 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 1 I I GALLONS OF H_A7 ARDOUS MATERIALS FULL NAME OF APPLICANT BWP DISTRIBUTORS INC NAME OF ESTABLISHMENT ADVANCE AUTO PARTS #4449 ADDRESS"OFESTA.BLISHMENT 1 1YANOUGH RD HYANNIS, MA 02601 4: ` TELEPHONE 1V'UMSER 508-775-1005 SOLE OWNER: YES x NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS-OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 13-3143287 STATE OF INCORPORATION NY FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF-APPI<TGANT RESTRICTIONS: . Hong ADDREss PO BOX 2710 ROAN 0KE;VA14001. HOl'vIE T ELIEPIHONE A 540-362-491 1 C:lcachclTcmparwy Internet Ftles10=3ViA7..f F Rcv201SDOG RECEIVE: . N0. 7772 06/10/.2015/WED 12 : 09PM Number Fee 1106 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Advance Auto Parts Store #4449 1 IYANNOUGH ROAD, HYANNIS, VA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017- unless sooner suspended or revoked. g ----------------- ----------- WAYNE MILLER,M.D.,CHAIRMAN CIS PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO 6 Director of Public Health 1 �l Town of Barnstable ►�,,,, Regulatory Services ti Richard V. Scali, Director c ASS = B ARN TABLE B Public Health Division 16;9 Thomas McKean, Director � a 200 Main Street, Hyannis,MA 02601 a Office: 508-862-4644 Fax: 508-790-6304 W APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 U c� A late charge of$10.60 will be assessed if a ent is not received b Jul Ist. g p ym v v ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: Y%c e_. Pe S # z14 U 1 NAME OF ESTABLISHMENT: A&aac.e- AuA ADDRESS OF ESTABLISHMENT: a n n o�'z )!L\ lA avnn1.S MA yZ&o MAILING ADDRESS(IF DIFFERENT): Z7j0 Toca.tvo►-e, .\rA z1ool- 2 7/o TEL E:awn - ��•�T**�'rrrr� - L Sb�� 77 !Do 5 EMAIL ADDRESS: i C .+4u-h,�(2 PA 6-A-,J t-,e - e w-ko- ccyv,, SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address �,���. 5 T�► ��,� Telephone#: M 9r. ,�v 1 rvr,wee 1-�t 04c k"5 Email: Q:Application Forms\HAZZAPP Revl6.docx Page 1 of 2 IKEr � Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAq .�` 200 Main Street• Hyannis, MA 02601 '6 39 M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT RFD Py Business Name: Ca-�f "2`54 t'�//�� u o R,--e4 S Date: 7 2 r I S Location/Mailing Address: Ia 122$ a Contact Name/Phone: -Vau I S - 7-7 — I Inventory Total Amount: N ���� a-� MSDS: License#: o Ctw�� Tier II : � 50 Labeling: ( -tL%l Spill Plan: e-S Oil/WaterSeparator: N11A Floor Drains: p�11 Emergency Numbers: e. S Storage Areas/Tanks: M LLd W R- r A s )46r-447, Io _ m►ti 4oKr-ce --- Emergency/Containment Equipment: Waste Generator ID: d Waste Product: O ( 4-++e�ci�5 Date&Amount of Last Shipment/Frequency: /U o o, I ,G,rAe-v./J s s 1►ti eQ :LD 13 Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS A)0 04,0, o `I�a+�, s i w r n�1�1ac S�h4e C.e tS�{4�( w• NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws o MA, hazardous material use, '►tio r3 storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFO ATION/RECOMMENDATIONS: 5 e o t ��L O wt ✓vt 21� ovt S �- � Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °Ft►�r°k Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM�LE. ' 200 Main Street•Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CFO MPS a Business Name: CA vC34 A v+o k,4 S Date: Location/Mailing Address: t e a VkVU1-> vq 'Z$ Q n�1 S Contact Name/Phone: v Inventory Total Amount: > I II a Sai MSDS: Oil V'45`VL License#: (lib iy4eA° Tierll : too ,,Ibs' Labeling: Ok< Spill Plan: Ca-�l&Q k.-�� �IeS Oil/WaterSeparator: &)o Y° Floor Drains: o Emergency Numbers:+6 qoctW9 -5 lal►1 Storage Areas/Tanks: D -'Oecom ca I.- Emergency/Containment Equipment: 06c ab ocloa s Waste Generator ID: D �s i D Waste Product: L "-fe-o- I Date&Amount of Last Shipment/Frequency: $ ► I Aso . &) Licensed Waste Hauler&Destination: W e5tecA1 D, I CriHcol.a , �T i O00SOD02 Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes —�— Bug and tar removers v Hydraulic fluid (including brake fluid) V Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants �~ Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides �— Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) J Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine �— Paints, varnishes, stains, dyes Lye or caustic soda �— Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: 2X, hvke.S alpo J,-. 1 0LV, a aS}c,- Inspector: LOLVJJ' Facility Representativ — WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Qa� 5c 0�(�1(0?0, Date: g/ /Z/ 3 TOWN OF BARNSTABLE Q�z�e,3 TOXIC AND HAZARDOUS MATERIALS PXdM §T11kTiM FORM NAME OF BUSINESS: I .argy.�8-►� �-�-� P rf s BUSINESS LOCATION: 1 1 A- Vtov 4 V1 el) s INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: -St>g -775-- ZOOS-- CONTACTPERSON: &V I Joe-0-A. EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: J o fe- re.4m r l s}oT--, ye s INFORMATION / RECOMMENDA IONS: Fire District: a ,45 eCr,1 r'' S�i�l �'� ►I C®►�1► a vc, cd l-IZ�- c',M 1 4- 9N,�ajiws D�a f L 'g e'o-- - Gle"t► - v ,ae5r 110r. Waste Last shipment of hazardous waste: Name of Hauler: 1jeS+erA_ �, Destination: 04 ,Nco rc Waste Product: ,,,haste, o► / Licensed? e No R1 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS rSi-,Ce k4;Z 1A - wAV�evL;6,- A s `a. ,t The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Mo or Oils Pesticides NEW Q USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, V/ Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash 1 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Ini L/ 7/13 AIdV CCt,C VL� 1 ��/R.n•n o.� � �� AI I VTi F1 E V FtFts� Hazardous Materials Package Summary Sheet Aerosols Level 23.36 gallons = 186.85 Ibs Level 2.99 gallons = 23.92 Ibs Level 70.51 gallons = 564.09 Ibs TOTAL 96.86 gallons 774.86 Ibs Flammable Gas-Hazard Class 2.1 TOTAL 0.89 gallons TOTAL 30.32 cu. Feet Non-Flammable Gas -Hazard Class 2.2 TOTAL 23.63 gallons TOTAL 661.5 cu. Feet Flammable Liquids -Hazard Class 3 IA 0 gallons IB 21.83 gallons IC 12.92 gallons TOTAL 34.75 gallons Combustible Liquids-Hazard Class 3 II 18.18 gallons IIIA 24.1 gallons 1116 1,392.87 gallons TOTAL 1,435.15 gallons ORGANIC Organic Peroxide-Hazard Class 5.2 PEROXIDE, TOTAL 0.05 gallons 5.2� Corrosives -Hazard Class 8 y � Sulfuric Acid within 155.36 gallons automotive batteries Remaining Products 17.23 gallons TOTAL 172.59 gallons tz r �iD ®0/i Town of Barnstable �( 1 °FTHE rqk, Regulatory Services Ya�y ti Richard V. Scali, Director '"M ` Public Health Division s.asS. g 1639. ♦0 Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF'HAZARDOUS MATERIALS FULL NAME OF APPLICANT & t51�4�✓��5 lb-'I/ NAME OF ESTABLISHMENT ALIVIC1, 4v�) ?G( Vs 0- ADDRESS OF ESTABLISHMENT h(�V VC ti ah IS l"t� Q��iO. TELEPHONE NUMBER SADb'1�I S' 00 S Q SOLE OWNER: YES NO C3 Zf IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF PARTNERS: c 01 � rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. l STATE OF INCORPORATION [J FULL NAME AND HOME ADDRESS OF: PRESIDENT Will �+VC kt j TREASURER CLERK j4dNATURE OF APPLICANT RESTRICTIONS: HOME ADD SS 0,( Z71� Kd�� VA 2 �J HOME TELEPHONE# 5 0-- 3 6 Z- N 91l � Q\Application Forms AZAPP.DOC 'I I ; MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601. FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed.application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page i Q\Application Fonns\HAZAPP.DOC I Advance Stores Company,Incorporated 5008 Airport Road Roanoke, Virginia 24012 P.O.Box 2710 Roanoke, Virginia 24001-2710 Direct 540.561,6940 Fax 540.561.8390 EMWE Y RU-napuffl-w6e Plan Advance Auto Parts #4449 1 lyanough Road Hyannis, MA 02601 Ph: (508) 775-1005 Emergency Contact Information Customer Contact Center (24-hr) (800) 310-4243 Bruce White (District Leader) (508) 254-3101 MSDS — Infotrac (24-hr) (877) 753-7233 www.aapmsds.com Sg� 4 �.. In the State of Massachusetts, waste oil is regulated as a hazardous waste. As a Small Quantity Generator of waste oil (greater than 27 gallons but less than 270 gallons each month), an Emergency Response Plan must be located on site and immediately accessible. Equipment Fire Alarm: Depending on the ownership of your building and responsibility of the alarm system, the fire alarm may, or may not, be monitored by Tyco Services. You may contact the Customer Contact Center if you have questions on service or maintenance. • Tyco Services: 1-800-314-7124 • Customer Contact Center: 800-31.4-4342 Telephone: All stores have access to multiple phones located at the service counters and manager's office in which to contact the police, fire, or emergency response teams by dialing 9-1-1. Portable Fire Extinguishers: All stores have portable fire extinguishers located throughout the store. • Team Members are not expected to use the fire extinguishers if they have not been trained or feel uncomfortable to do so. In such cases, the Team Member should call 9-1-1 in case of a fire. • Fire Extinguishers should only be used in small fires as they are only good for 16 seconds. • Fire Extinguishers should be inspected annually. Should the inspection be past due or if you have questions, please contact the Facility Management Hotline: 866-625-0050. Sprinkler System: Depending on the location of your store, ownership, and local requirements, you store may, or may not, have a sprinkler system. Questions regarding the workings of the sprinkler system should be made to Facility Management (866-625- 0050). - I - - - - 1 _ - Waste Oil Management The following pages provide direction on how the waste oil recycling program should be managed within Advance Auto Parts. • Your store has a 220-gallon portable container that is double-walled. All used oil is poured in the inner tank. Should the inner tank be compromised the outer tank will contain the oil. • The waste oil program is managed by Safety-Kleen. o Service and tank repair request can be made by calling 800-545-3520 I FLUID AND FILTER RECYCLING SOP Overview The Advance Auto Parts Recycling Program is one of the cornerstone initiatives in the company's sustainability efforts.The program gives our Team Members and our customers the ability to reduce waste and pollution that otherwise could enter our waterways or landfills_Tank and program operations will be inspected at regular intervals by regulatory officials. Best Practices - Familiarize yourself with the information on this and related pages. • Educate our customers on the responsible ways that Advance uses the recycled fluids and materials,and inform them of our full range of recycling services.Always remind customers at the point of sale to bring back their accepted fluids or fitters for recycling.* _ '.. - ' " - - Used fluid containers and/or oil filter recycling drum must be located 3 feet or more from any electrical panel- Guidelines and Restrictions • All tanks and drums should be clearly labeled to avoid any non-compliant waste or trash being placed in the incorrect drums. • We cannot accept used fluid from Commercial customers. • Customers are limited to 5 gallons of used fluid per day- - Never allow the customer to pour the fluid into the tank: • Be sure to inspect the fluid thoroughly and ensure it is on the"acceptable fluids"list below. Never drain or pour fluids listed as unacceptable into tank. Maintenance - All fluid tanks and drums should be inspected daily. - When tanks or drums are%full,contact Safety-Kleen at 1-800-545-3520. (Or call 1-800-669-5740 for the new sticker.)See respective job aid for complete instructions_ - Because used oil is a regulated waste,Safety-Kleen is the only authorized AAP vendor to collect the used oil from the stores_All other vendors or customers are prohibited from servicing the used oil tank. Used Fluid Log • Used Fluid(Oil)Logs and all other Safety-Weep paperwork should be stored in the Completed used Oil Log bin box or Completed Hazmat Paperwork bin box,whichever is currently planogrammed'_ - Used Fluid Log should be filled out and signed by the customer after their used fluid has been poured into the proper recycling barrel. How Fluids Are Reused = Depending on the location of the store and the season,the used oil is: 4 4 ro i I .• � ,,,, FLUID AND FILTER RECYCLING SOP (cont.) Pe-refined into tube stock arrd blended with additive packages to be resold as engine and lubricant oils (Approximately 90%of oil collected at Advance Auto Stores is turned into re-refined oil products) a Refined and resold as fuel of. for industrial burners or to asphalt plants as a component to asphalt. • The antifreeze is recycled to p--oduce pure ethylene glycol_ The recycled ethylene glycol is then formulated to manufacture new automotive and diesel coolants. I The oil filters are shredded and the separated into three components that are all recycled;scrap metal,oil that is re-refined, and paperfrubber that is made into a fuel for energy recovery at industrial burners. Acceptable Fluids Table , Acceptable Fluids for Oil Tank j Unacceptable Fluids for Oil Tank Motor Oil Transformer,QiUPCB Oil-....., �- --- I Transrrission FluidfOil Antifreeze(place in Antifreeze Drum if available) Hydrau=ic Oil Gasoline Gear Oil PaintlVamish Power Steering Fluid Solvents/Thinners Brake Fluid Carburetor Cleaner Bleach j Insecticides �Y Household Chemicals Any mix of oillfluid with an unacceptable fluid' Any oil from commercial service vendors ° Anything except those listed in"Acceptable list"' Safely-Kleen, 1-800-545-3520_ (Or call 1-800-669-5740 for new sticker.) � I , Massachusetts Requirements Massachusetts requires the areas around the waste oil container and core battery pallet to clearly identified (floor tape) with a sign posted. In addition, the waste oil container must have the proper labeling on it. • The below photos are provided as an example. Should you have questions or are in need of supplies (tape or signage), please contact Facilities Management at 866-625-0050 or place a request in OfficeTrax. o The below store has the correct wall sign and floor tape, but has no signage on the container itself. They should contact Facilities Management for assistance. q f &9GY N%wn tQr - •- 3L.z F�f �1 s — 3 x 3 3� 3�, i • The core battery pallet also needs floor tape around it and the below sign posted to the wall behind it. UNIVERSAL WASTE LEAD ACID x BATTERIES 1 l Emergency Response Fire: Exit the store at the nearest exit and contact the Fire Department (9-1-1). Spill or Leak: It is not unusual for small amounts of oil to spill on the store floor as a result of handling waste oil containers or to spill in the parking lot as a result of leaking vehicles. • Both instances require the use of dry absorbent (i.e. oil-dri) to clean up the spill. A generous amount of absorbent should be used. • Enough dry absorbent should be used so there is no free liquid remaining. • Once it can be confirmed that there is no free liquid, the absorbent can be disposed of in the trash. • Oil absorbent should be cleaned up immediately and not left to soak up oil over time. Environmental Release: The following types of spills (typically waste oil) should result in an Emergency Response. Please contact the emergency contact located on the cover page of this plan. • A spill too large for the store team to handle. • A spill that reaches a storm drain or waterway. o If unable to reach an emergency contact, assistance can be reached at: ■ DEP Emergency Response at 888-304-1133 ■ National Response Center at 800-424-8802 • A spill that reaches landscaped area. Bio-Hazard / Blooborne Incident: p Y a Large amounts of blood should be cleaned u b g certified bio-hazard team. Please contact one of the emergency contacts located on the cover of this plan. Evacuation If an evacuation of the store is necessary, please leave the building as quickly as possible using the nearest exit. All Team Members and customers (if any) should congregate at the far end of the parking lot. • The location should be safe from the building or hazard and to allow emergency personnel access to the without potentially harming a Team Member or customer. ., yNy� Town of Barnstable oFj"E Tp� Regulatory Services ,fir` o Richard V. Scali, Director * BARNSfABLE, MASS. Public Health Division i63q. �e AIEo►��' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fax: 508-790-6304 Paul J. Canniff,D.M.D. Junichi Sawayanagi NOTICE TO ALL BUSINESS OPERATORS WITH HAZARDOUS MATERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and to remit a fee of$100.00 if one-hundred and eleven (111) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a particular site. STEPS 1 — 2 - 3: 1. Please complete the attached application form 2. Include a copy of your contingency plan (to handle hazardous waste spills, etc.) 3. Submit the fee of$100.00 payable to the: Town of Barnstabie. MAIL all of the above to this office on or before June 30, 2014., A late charge of$10.00 will be assessed if payment is not received by July 30, 2014. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the. Town Website, www.town.barnstable.ma.us , which is located under the E-Code section if you should have any questions or concerns. Q:\Iazmat\Haz Mat Permit Letter.DDC I 1 I� Number Fee 1106 THE COMMONWEALTH OF MASSACHUSETTS $o.00 Town of Barnstable Board of Health This is to Certify that CARQUESTAUTO PARTS#4449 1 IYANNOUGH ROAD, HYANNISWA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2014 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 10/28/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health y s, w Town of Barnstable Barnstable F r Regulatory Sen4ces Department Public Health Division aEM . _..... 200 Main Street,Hyannis MA 02601 2007 ice: 508.362 4b44 Thomas F.Cieiler,Director Of FAX: 508.790-6301 Thomas A.McKean,CH4 Application Fee: $100.00 ASSESSORS WUP AND.PARCEL NO. DATE APPLICATION OR PER1Vt7T TO STORE AND/OR UTILIZE MORE THAN 1.11 GALLONS OF HA.ZARDQUS NLATERJA.LS FULL NA-ME OF APPLICANT Carquest Auto Parts#4449 NAME OF ESTABLISILIIENT Carquest Auto Parts#4449 ADDRESS OFEST'ABLISHMENT 1 lyannough Road Hyannis, MA 02601 TELEPHONE NU`MER (508)775'1005 SOLE OWNER: X YES�NO IF APPLICANT IS A PARTNERSHIP,FULL NAAIE AND HOME ADDRESS OF ALL PART`E,RS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 540118110 STATE OF INCORPORATION Virginia FULL NAME AND HOME ADDRESS OF: PRESIDENT Please see attached TREASURER CLERK SIG, M, OIL'APPLICANT RESTRICTIONS: HOINMi ADDRESS HON11 TELEPHONE# (540)561-8492 J:linspecdon handouts�Mulvfat Applicatio 3CO3.DOC j i I Advance Stores Company,Incorporated Joe Roan Airport Road NW Roanoke, Virginia 24012 I P.O.Box 2710 Vi ❑ CCC✓✓✓ Roanoke, Virginia 24001 p Q Telephone 540-362-4911 t BWP Distributors, INC William H. Carter Chairman and Chief Executive Officer Neil Stockel President Michael A. Norona Executive Vice President, Chief Financial Officer and Assistant Secretary Sarah E, Powell Senior Vice President, General Counsel and Corporate Secretary Rachel E. Geiersbach Assistant Secretary Keep the wheels furfling. Emergency Procedures, Prevention and Response Plan Carq uest Auto Parts #4449 1 lyannough Road Hyannis, MA 02601 508-775-1005 Emergency Response Coordinator Paul Perra: (508) 775-1005 Fred Vansicklen: (508) 404-0560 Alternate Coordinator: Infotrac (877) 753-7233 October 21 , 2013 Dial 911 when life or property is threatened. Emergency Procedures, Prevention and Response Plan 1 I TABLE OF CONTENTS AUTHORITYTO ACT ............................................................................................. 3 EMERGENCY RESPONSE PHONE NUMBERS ....................................................4 REGULATORY AGENCIES ....................................................................................5 EMERGENCY RESPONSE COORDINATOR FUNCTIONS ...................................6 BASIC EMERGENCY RESPONSE .........................................................................8 CHEMICAL RELEASE PROCEDURES ..................................................................9 Emergency Coordinator ..................................................................................... 10 FIRE ............................... ...................................................................................... 11 FACILITY DESCRIPTION ..................................................................................... 12 HAZARDOUS WASTE GENERATED ON-SITE .................................................... 13 EVACUATIONPLAN ............................................................................................ 14 HAZARDOUS WASTE MANAGEMENT PREVENTION MEASURES ................... 15 HAZARDOUS WASTE STORAGE INSPECTION CHECKLIST ............................ 16 WARNING PROTECTION DEVICES .................................................................... 17 SPILLKIT CONTENTS ......................................................................................... 18 HAZARDOUS WASTE GENERATOR LOCAL AUTHORITY NOTIFICATION........ 19 ACKNOWLEDGMENT OF SERVICES FORM ...................................................... 20 EMERGENCY RESPONSE INCIDENT REPORT .................................................21 HAZARDOUS WASTE STORAGE AREA WEEKLY INSPECTION LOG...............22 Emergency Procedures, Prevention and Response Plan 2 AUTHORITY TO ACT Management of Carquest Auto Parts#4449 gives the Emergency Response Coordinator the authority to spend or use whatever is necessary to adequately respond to an emergency in accordance with this Emergency Plan. Micah S. Thompson Environmental Services Manager Date Emergency Procedures, Prevention and Response Plan n 3 r, EMERGENCY RESPONSE PHONE NUMBERS Carquest Auto Parts #4449 1 lyannough Road Hyannis, MA 02601 Ph: (508) 775-1005 EPA ID#: EMERGENCY: CALL 9-1-1 FIRE: Hyannis Fire Department 9-1-1 Emergency 95 High School Rd Ext (508) 775-1300 H annis MA 02601 T , � - POLICE: Barnstable Police Department 9-1-1 Emergency 1200 Phinney's Lane (508) 775-0387 Hyannis, MA 02601 LOCAL REGULATING Massachusetts DEP (617) 654-6500 AGENCY: 1 Winter Street Boston, MA 02108 - -- ,- - ��,�` *�� HOSPITAL: Cape Cod Hospital 9-1-1 Emergency 27 Park St. (508) 771-1800 Hyannis, MA 02601 - r _ x EMERGENCY Bruce White (508) 254-3101 COORDINATOR: iA , ALTERNATE Infotrac (877) 753-7233 EMERGENCY COORDINATOR SPILL REPORTING DEP Southeast Regional Office (888) 304-1133 AGENCY: 20 Riverside Drive Lakeville, MA 02347 (508) 946-2850 x r« LOCATION OF See facility map EMERGENCY EQUIPMENT: Be prepared to give company name, address, EPA#, date and time of incident, type of emergency, name and quantity of material involved, extent of injuries, and possible hazards to human health and environment outside the facility. Emergency Procedures, Prevention and Response Plan 4 REGULATORY AGENCIES LOCAL: DEP Southeast Regional Office 20 Riverside Drive Lakeville MA 02347 k��w�STATE: Massachusetts DEP 1 Winter Street Boston- MA n2108 FEDERAL EPA EPA Region 1 REGIONAL 1 Congress Street ADMINISTRATOR: Boston, MA 02114 y,a r All COAST GUARD: U.S. Coast Guard .> � =, �, �,�� �- •�„��- � � _ fir,'" ,�k���«F'h �k '� �*�`� NATIONAL 1-800-424-8802 RESPONSE CENTER: Emergency Procedures, Prevention and Response Plan 5 r EMERGENCY RESPONSE COORDINATOR FUNCTIONS Whenever there is an imminent or actual emergency situation, the Emergency Response Coordinator (or designee when the Emergency Response Coordinator is not available) must immediately: 1. Activate internal facility alarms or communication systems, where applicable, to notify all facility ,personnel; and 2. Notify appropriate state or local agencies with designated response roles if their help is needed. Whenever there is a release, fire or explosion, the Emergency Response Coordinator must immediately identify the character, exact source, amount and real extent of any released materials. This may be done by observation or review of facility records or manifests and, if necessary, by chemical analysis. Concurrently, the Emergency Response Coordinator must access possible hazards to human's health or the environment that may result from the release, fire, or explosion. This assessment must consider both direct and indirect effects of the release, fire, or explosion. If the Emergency Response Coordinator determines that the facility has had a release, fire, or explosion, which could threaten human health or the environment outside the facility, he must report his findings as follows: 1. If his assessment indicates that evacuation of local areas may be advisable, he must immediately notify appropriate local authorities. 2. He must be available to help appropriate local authorities decide whether local area should be evacuated; and 3. He must immediately notify either the government official designated as the on-scene coordinator for the geographical area (in the applicable regional contingency plan under 40 CFR Part 1510) or the National Response Center (using their 24-hour toll free numbers 800-424-8802). This report must include: a. Name and telephone number of reporter b. Name and address of facility c. Time and type of incidents d. Name and quantity of material(s) involved, to the extent known: e. The extent of injuries, if any: and f. An assessment of actual or potential hazards to human health or the environment, where this is applicable; and g. The possible hazards to human health or the environment outside the facility. During an emergency the Emergency Response Coordinator must take all reasonable measures necessary to ensure that fires, explosions, and releases do not occur, recur, or spread to other hazardous waste at the facility. These measures must include where applicable, stopping processes and operations, collecting and containing released waste and removing or isolating containers. If the facility stops operations in response to a fire, explosion, or release, the Emergency Emergency Procedures, Prevention and Response Plan 6 Response Coordinator must monitor for leaks, pressure build-up, gas generation or ruptures in valves, pipes or other equipment, whenever this is appropriate. Immediately after an emergency, the Emergency Response Coordinator must provide for treating, storing, or disposing of recovered waste, contaminated soil or surface water, or any other material that results from release, fire, or explosion at the facility. The Emergency Response Coordinator must ensure that, in the affected area(s) of the facility: 1. No waste that may be incompatible with the released material is treated, stored, or disposed of until clean-up procedures are completed; and 2. All emergency equipment listed in the contingency plan is cleaned and fit for its intended use before operations are resumed. The owner or operator must notify the appropriate state and local authorities that the facility has been restored to an acceptable condition before operations are resumed in the affected area(s) of the facility. The owner or operator must note in the operating record the time, date, and details of any incident that requires implementing the contingency plan. Within five days after the incident, the Coordinator must submit a written report on the incident to management. The report must include: a. Name, address and telephone number of the owner operator; b. Name, address, and telephone number of the facility; c. Date, time and type of incident (e.g. fire, explosion); d. Name and quantity of material(s) involved; e. The extent of injuries, if any; f. An assessment of actual or potential hazards to human health or the environment, where this is applicable; g. Estimated quantity and disposition of recovered material that resulted from the incident. Emergency Procedures, Prevention and Response Plan 7 r BASIC EMERGENCY RESPONSE 8 STEP PROTOCOL • CALL 911, if necessary 1. Isolate and Evacuate 2. ID Material and/or Cause of Incident 3. Risk/Hazard Assessment 4. Emergency Equipment 5. Notification 6. Control 7. Decontamination 8. Termination Emergency Procedures, Prevention and Response Plan 8 CHEMICAL RELEASE PROCEDURES The Emergency Procedures required in the event of a release of hazardous waste or materials are as follows: Identifying Employee 1. Evacuate out of immediate area. Also notify employees in the immediate area to keep out of area. Protect Personnel —Anyone wet by flammable liquids should remove the soaked garments and thoroughly wash the effected skin with soap and water. Personnel close to the spills potentially harmfully vapors should evacuate. 2. Eliminate ignition sources — Cigarettes should be extinguished and any spark or flame producing operation should be shut down within the vapor-spread area of the spill. Flammable liquid vapors are often heavier than air and spread naturally along the floor from higher to lower elevations. Ignition sources below and even some distances away from a spill may be vulnerable. 3. Call 911, if immediate emergency services are needed. Notify the Emergency Response Coordinator through direct contact or via the phone paging system. 4. DO NOT ATTEMPT TO CLEAN UP THE SPILL IF THE MATERIAL IS HAZARDOUS OR HAS UNKNOWN HAZARDS. Emergency Procedures, Prevention and Response Plan 9 i Emergencv Coordinator Call 911, if immediate emergency services are needed. 1. Isolate immediate area. • Evacuate all non-essential personnel. • Keep all personnel out of spill area. The area should be secured. 2. Identify the spilled/released material • Identify the cause of the spill/release. 3. Determine the risk and hazards associated with the release. • MSDS are available on site. • Hazardous chemical exposure levels must be quantified. If the hazards are not too great and are manageable with proper procedures and protective equipment, the ERT may follow control and decontamination procedure if they choose to do so. 4. Obtain the required personal protective equipment for the incident. • All personnel entering the area must don the required personal protective equipment. • Please refer to the emergency equipment section of this plan. 5. Notify ERT members before entering area for control. • . No ERT member may act alone. 6. Control the hazards. • ONLY IF IT IS SAFE TO DO SO! • If material is flammable, shut down or eliminate all sources of ignition. • Ventilate where possible. • Contain the spill if safe to do so. Contain the spill -Attempt to restrict the spread of the spill. Minimizing the surface area of the spill reduces the formation of flammable vapors. • Spill containment tools include absorbents (pillows, socks and pads), non- sparking shovel and squeegees, etc. Sufficient absorbent material to control a possible spill should be kept on hand. • All spill control equipment must be spark-proof. • If a drum was punctured turn the drum so the puncture is facing up thus preventing more material to be released. 7. Decontaminate area using approved materials. • Any material that can be reused should be cleaned up first. The remaining waste should be cleaned up and placed in clean drum. • All contaminated material is to be removed and handled in the same manner. All equipment used during the clean up operation should be cleaned and put back in the proper location. After the clean up is complete, the supervisor of the department should be notified that plant operation might continue. Emergency Procedures, Prevention and Response Plan 10 • All emergency response personnel involved with the clean up of the spill must go through decontamination. 8. Termination • Emergency Response designates must gather and complete the Incident Report. • Appropriate agencies must be called if release thresholds or reportable quantities (RQ) are exceeded. • Steps must be taken to prevent a similar event from occurring. • Retraining to be scheduled as needed. FIRE The basic Emergency Procedures required in the event of a fire are as follows: identifying Employee 1. Evacuate area immediately through the nearest unobstructed exit. 2. Call 911 if necessary. 3. Alert plant personnel over the P.A. system. Dial 4, 0, 0, state and repeat message. 4. Walk to the emergency assembly area located outside the front entrance, for a head count. MESSAGE: "Your attention please. Evacuate the building immediately through the nearest exit. Walk to the area outside of the main entrance." 5. Notify Emergency Response Coordinator-to call Fire Department. 6. Department Supervisors are to check for injuries and missing personnel. If injuries occur, contact the First Aid Personnel or a Supervisor. Call the Rescue Squad and/or Fire Department, if needed. 7. After the fire is extinguished, all affected areas are to be cleaned up and wastes properly disposed of before resuming operations. Emergency Procedures, Prevention and Response Plan 11 FACILITY DESCRIPTION Carquest Auto Parts #4449 General Description of Facility Advance Auto Parts is a retail automotive parts supply store. It is the Mission of Advance Auto Parts to provide personal vehicle owners and enthusiasts with the vehicle related products and knowledge that fulfill their wants and needs at the right price. Our friendly, knowledgeable and professional staff will help inspire, educate and problem-solve for our customers. Type of Materials Handled: • Automotive Parts • DIY Waste Oil • Automotive Batteries s Previous Emergency None Incidents: f re: Potential for Emergency Limited potential for fires and/or spills. Incidents: Emergency Procedures, Prevention and Response Plan 12 f SAMPLE HAZARDOUS WASTE GENERATED ON-SITE EPA ID#: WASTE STORAGE WASTE ID # 'ANNUAL MAX AMOUNT�l STREAM LOCATION n =. GENERATION STORED Emergency Procedures, Prevention and Response Plan 13 EVACUATION PLAN (Evacuation Plans Available at Individual Stores to Be Inserted Here) Emergency Procedures, Prevention and Response Plan 14 r HAZARDOUS WASTE MANAGEMENT PREVENTION MEASURES Material/ProcessfWaste Inspection All drums are inspected once a week and documented for: 1. Leaks, if found stop leak and clean up measures activated. 2. To ensure that lids and bungs are in place. 3. Ensure that drums are labeled properly. 4. Ensure waste and materials are in control and labeled properly. The storage area has: 1. Correct aisle spacing 2. A spill kit available 3. Records available and up to date 4. Security measures in place 5. Compatible materials Emergency Procedures, Prevention and Response Plan 15 HAZARDOUS WASTE STORAGE INSPECTION CHECKLIST The following inspection of hazardous materials storage is completed visually on a weekly basis for the following: 1. All hazardous waste barrels should be kept closed except to add or remove waste. After adding or removing waste, remove funnels and replace container's bung or lid. 2. Aisles are to be maintained between all containers for inspection personnel and, in an emergency, fire and spill control equipment. 3. Inspect all containers for leaks or deterioration of containers. 4. Care is to be taken not to spill any materials, virgin or waste, on the ground, either inside or outside the plant. No spills are allowed. In case of a spill, report to your supervisor immediately. 5. All hazardous waste containers must be properly labeled with appropriate labels noting "Hazardous Waste", identification of contents along with accumulation start date, etc. 6. Waste must be stored in a secure area, protected from unauthorized access and damage from vehicles or equipment. 7. Check materials for accumulation and shipping deadlines. 8. All containers storing hazardous materials must be sheltered from outside elements (including sunlight). Additionally, containers must be placed on a curbed, impermeable surface with other compatible materials. (No asphalt floor materials.) 9. Barrels and containers must be emptied of all their contents before removal from inside the building and stored outside. ("Brush clean" or"drip clean" should be the empty test.) All empty barrels stored outside should be stored in horizontal position with both all covers and bungs in place or no covers on at all. 10. Containers may be thrown into the trash or dumpster under certain circumstances. Containers are defined as plastic jugs, cans, pails or barrels. No containers should be put in a dumpster unless they are brush clean or drip clean. Additionally, the containers should be slashed or crushed so they cannot accumulate any liquid on a secondary use. Emergency Procedures, Prevention and Response Plan 16 i WARNING PROTECTION DEVICES TYPE LOCATION s ACTIVATION LIMITATIONS."' Portable Fire See facility map Manual—Pull pin, Small fires—approximately 16 Extinguishers Aim, Squeeze and seconds of use. Sweep. - Sprinkler Throughout facility. Heat activated. Systems u Alarm Systems~ Doors Opening when System must be armed to activated activate. Alarm Company ADT Security Ph: (508) 791-6262 Contracts Services Inc. Telephones Throughout facility. Lift receiver, dial 9 for Must have power. Single an outside line. emergency phone in back will operate in event of a power outage. Intercom Activated through Must have power. phone system. m� p� Emergency Procedures, Prevention and Response Plan 17 f SPILL KIT CONTENTS TYPE LOCATION- 'MODEL t LIMITATION&' Plastic Container Beside waste 5 gallon tote Material must be transferred oil tote. to another container prior to off-site shipment. Spill Sorb Beside waste 40 Ibs Will absorb up to 5 gallons of oil tote. material. Plastic Scoop Beside waste oil tote. Gloves Beside waste Latex gloves. For small non-corrosive and oil tote. non-toxic spills only. Emergency Procedures, Prevention and Response Plan, 18 HAZARDOUS WASTE GENERATOR LOCAL AUTHORITY NOTIFICATION August 28, 2013 Police, Fire Department, Hospital, LEPC Carquest Auto Parts Store, #4449 1 lyannough Road Hyannis, MA 02601 Ph: (508) 775-1005 EPA I D#: PREPARED BY: Advance Stores Company, Incorporated The United States Environmental Protection Agency and DEP require all businesses that produce hazardous waste to notify local emergency response personnel. This notification is meant to establish cooperation in case of a fire or unplanned release of hazardous waste that may require your emergency services. So that you may be prepared to properly respond to an emergency at this site, we are enclosing a copy of our Emergency Procedures, Prevention.. and Response Plan. We appreciate your assistance in this matter and look forward to any comments you may have on this plan. Best Regards, Advance Stores Company, Incorporated Emergency Procedures, Prevention and Response Plan 19 ACKNOWLEDGMENT OF SERVICES FORM FOR Carquest Auto Parts #4449 The following facility is providing your agency with their Emergency Procedures, Prevention, and Response Plan: Carquest Auto Parts Store #4449 1 lyannough Road Hyannis, MA 02601 Ph: ( ) EPA ID#: The undersigned acknowledges the receipt of this RCRA Contingency Plan for the above referenced facility and indicates that this agency ❑ will or ❑ will not provide appropriate services in the event of an emergency. Date: Name: (Print) Title: Signature Emergency Procedures, Prevention and Response Plan 20 a g. EMERGENCY RESPONSE INCIDENT REPORT Company Name: Contact: Phone: Site Location: Contact: Phone: Incident: Date: Time: End: Responsible Party: Address: Phone: Location of Release/Incident: Name of Substance: Qty Releasedj Reportable Qty: SARA: Released To: Hazards Associated with Incident/Release: Apparent Cause of Incident: Public Service(s) Called: Phone: Time: Arrived: Depart: Time Site Released to Public Service: Time Site Returned to Coordinator: Regulatory Agencies Called: Phone: Spoke to: Time: Report: Relayed to: Action by Emergency Response Team: Team Members Involved: Time: Evacuation Location: Injured Parties: When: How: Injury: Action Taken: Additional Team Assignments: Preventative Measures Taken to Reduce Possibility of Similar Incident: Comments: Emergency Procedures, Prevention and Response Plan 21 y t .r Hazardous Waste Storage Area Weekly Inspection LogIBBD: SAMPLE Carquest Auto Parts #4449 EPA ID #: Waste Oil Accumulation Area Inspector Full #of Inspecti Problems noted during Corrective Name Containers on Date inspection (must be filled Action/Comments out even if"none" John Doe 1 9130110 One open waste oil drum Properly closed waste oil drum. Shipped 2 drums The following should be checked during the weekly inspection of hazardous waste storage containers/areas: ■ Containers are closed ■ Containers are properly labeled ■ Flammable materials are properly grounded/bonded during transfer ■ Aisle space is adequate ■ There is no leakage or container deterioration ■ Containers have fill dates ■ Storage duration meets timeliness of generator status Please contact your Safety-Kleen representative if you have questions on the proper storage or labeling of hazardous waste containers. Emergency Procedures, Prevention and Response Plan 22 ` ' °� ' �` TOWN OF BARNSTABLE' BAR W 4525, Ordinance or`: Regulation - i WARNING 'NOTICE Name of Offender/Manage Address• :of -,.Offender . ' ' MV/mB Reg:# x: Village/S.tate/Zip s, '.. Business Name ' �. ,-�Iry ti ���F A_, -� �i� �� � '< ):(7 am/pm, ,on 1�'►� . 20 1 �, Addres Business. �Signatu Enf rein Village/State/Zip N .i.ir,h�4,', „1`� ► /1 71.;'t� 1 3 Location of Offense - Enforcing Dept/Division Offense Zti F �§,.r� �.,. ,���� ..,,,� r.. ,;�� ,�', �r. t �'�. �.� �, r LA r• Facts �. .:� r _5�,; n. AL a•1 -tom I.a i �_ lA - I, o•'S - 6 A-t"J I w��I 7 A -Hi' i This :will' serve only las/a-warning. At thus time no' .legal action has been taken:. -It,. -is the goal of: .Town "agencies to-, achieve .,,voluntary 'compliance of Town. ordinances, :Rules and Regulations. ducation :efforts •and. warning notices are, attempts. to gain voluntary- complian e Subsequent .violations will . result in - 'appropriate legal action b'y the Town. WHITE-OFFENDER CANARY ORD./REG.-PROG. INK-ENFORCING OFFICER GOLD-ENFORCING DEPT. t4 , TOWN OF BARNSTABLE BAR_W 1,25 Ordinance or Regulation r WARNING NOTICE Name of Offender/Manager ''� *�""�- Address of Offender MV/MB Reg.# Village/State/Zip Business Name - { 4 �- t- t• am/pm, on ? f 11 1 20=� `-I J Business Address __ "I � ` J{. Signature of,Enforcing Officer Village/State/Zip -2 Location of Offense ��,•' Enforcing Dept/Division Offense Facts e e This will serve only *as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town -Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in `appropriate legal action by the Town. i WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.